Effect of Tibial Transcutaneous Electrostimulation in Women With Urgency Urinary Incontinence (TibialTNS)
Urinary Incontinence, Urge
About this trial
This is an interventional treatment trial for Urinary Incontinence, Urge focused on measuring urinary incontinence, Sleep, nocturia, sedentary behavior, anxiety, quality of life
Eligibility Criteria
Inclusion Criteria:
- Female sex;
- Age from 18 years old;
- Diagnosis of urgency urinary incontinence or mixed urinary incontinence
- Score greater than or equal to 8 on the Hyperactive Bladder - Validated 8 Question Awareness Tool (OAB-V8)
Exclusion Criteria:
- -Active urinary infection in the last four weeks;
- Alcoholism, smoking or drug addiction;
- Lesions and alteration of skin sensitivity in the place where electrotherapy will be applied;
- Drug and/or physiotherapeutic treatment for urgency urinary incontinence;
- Use of sleep-inducing medication,
- Any neurological disease (multiple sclerosis, Alzheimer's disease, stroke and Parkinson's disease);
- Use of anticholinergic drugs, calcium antagonists, b-antagonists and dopamine antagonists;
- Presence of pelvic organ prolapse (POP), measured by a score greater than III by the POP-Q system;
- Any comprehension difficulty or cognitive deficit that makes it impossible to carry out the research;
- Gestational or puerperal period.
Sites / Locations
- Instituto de medicina integral fernando figueiraRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
EG (experimental group): TIBIAL TRANSCUTANEOUS ELECTROSTIMULATION + Behavioral Therapy
GS (Sham-sham group): Behavioral therapy
EG (experimental group): submitted to a behavioral therapy protocol, which involves bladder training, pelvic floor muscle training and modification of liquid intake. The orientation will be based on the initial evaluation of the patient, in which the responsible researcher will give verbal orientations and deliver booklets on the pathology, behavioral therapy and sleep hygiene. In addition, patients will be submitted to biphasic current and surface electrodes during 12 treatment sessions, twice a week, on non-consecutive days, with a DUALPEX 961s electrical stimulation device (Quark, Brazil).
GS (Sham-sham group): submitted to a behavioral therapy protocol, which involves bladder training, pelvic floor muscle training and modification of liquid intake. The orientation will be based on the initial evaluation of the patient, in which the responsible researcher will give verbal orientations and deliver booklets on the pathology, behavioral therapy and sleep hygiene. Twelve sessions will be held, twice a week, on non-consecutive days. The electrodes of the DUALPEX 961 equipment will be positioned one immediately posterior to the lateral malleolus of the ankle and the other approximately 30 cm above it, where there is no stimulus for the tibial nerve.